|
Gi tract capsule endoscopy (pillcam) 91110
|
$1,992.73 |
$1,992.73 |
$1,992.73 |
$2,222.40
|
|
Gi trc img intral esophagus
|
$2,367.34 |
$2,367.34 |
$2,367.34 |
$1,897.82
|
|
Gi wireless capsule measure
|
$1,201.70 |
$1,201.70 |
$1,201.70 |
$1,579.30
|
|
Gjb2 gene full sequence
|
$628.20 |
$628.20 |
$628.20 |
$502.80
|
|
Gjb2 gene known fam variants
|
$73.82 |
$73.82 |
$73.82 |
$116.00
|
|
Gjb6 gene com variants
|
$360.19 |
$360.19 |
$360.19 |
$84.70
|
|
Glaucoma scrn hgh risk direc
|
$116.17 |
$116.17 |
$116.17 |
$116.17
|
|
Glaucoma scrn hgh risk direc
|
$76.08 |
$76.08 |
$76.08 |
$88.00
|
|
Glaucoma surgery
|
$3,895.82 |
$3,895.82 |
$3,895.82 |
$4,684.00
|
|
Glaucoma surgery
|
$4,786.53 |
$4,786.53 |
$4,786.53 |
$4,786.53
|
|
Glove finger flexion right lg xl
|
$114.00 |
$114.00 |
$114.00 |
$110.62
|
|
Glucagon 1 mg solution for injection
|
$682.24 |
$682.24 |
$682.24 |
$613.79
|
|
Glucagon hcl 1 mg/ml solution for injection
|
$18.30 |
$18.30 |
$18.30 |
$491.67
|
|
Glucagon plasma - sendout
|
$25.20 |
$25.20 |
$114.41 |
$64.35
|
|
Glucagon tolerance test
|
$111.95 |
$111.95 |
$111.95 |
$36.00
|
|
Glucose 1 hr post dose
|
$38.68 |
$38.68 |
$60.77 |
$48.25
|
|
Glucose-6-phosphate dhydrogenase screen
|
$72.12 |
$72.12 |
$72.12 |
$55.50
|
|
Glucose blood by monitoring device cleared by fda for home use
|
$21.18 |
$21.18 |
$33.96 |
$22.80
|
|
Glucose blood quantitative
|
$23.45 |
$23.45 |
$109.53 |
$42.14
|
|
Glucose body fluid
|
$47.60 |
$47.60 |
$79.18 |
$51.12
|
|
Glucose monitoring continual min 72hr pt
|
$386.53 |
$386.53 |
$386.53 |
$130.00
|
|
Glucose tolerance test (gtt) 3 specimens
|
$87.33 |
$87.33 |
$161.61 |
$104.50
|
|
Glucose tolerance test (gtt) >3 specimens each additional
|
$12.43 |
$12.43 |
$41.28 |
$36.00
|
|
Glycopyrrolate 0.2 mg/ml injection solution
|
$49.20 |
$49.20 |
$49.20 |
$37.40
|
|
Golimumab 12.5 mg/ml intravenous solution
|
$3,598.55 |
$3,598.55 |
$3,598.55 |
$5,009.45
|
|
Gonadotropin follicle stimulating hormone (fsh)
|
$62.30 |
$62.30 |
$202.98 |
$116.64
|
|
Gonadotropin luteinizing hormone (lh)
|
$68.25 |
$68.25 |
$316.50 |
$129.00
|
|
Gonioscopy
|
$152.50 |
$152.50 |
$152.50 |
$135.52
|
|
Goniotomy
|
$4,632.84 |
$4,632.84 |
$4,632.84 |
$4,396.50
|
|
Goserelin 10.8 mg subcutaneous implant
|
$5,010.53 |
$5,010.53 |
$5,010.53 |
$4,417.13
|
|
Graft apligraf 3in 44sqcm-q4101-cost per sq cm
|
$4,733.71 |
$4,733.71 |
$4,733.71 |
$73.83
|
|
Graft axiofill 1000mg
|
$3,591.00 |
$3,591.00 |
$3,591.00 |
$5,125.68
|
|
Graft fish skin 16mm round marigen 2units-cost per sq cm
|
$388.13 |
$388.13 |
$388.13 |
$605.00
|
|
Graft hand or finger tendon
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Graft impl ult thck 6x12cm -cost per sq cm
|
$23,253.65 |
$23,253.65 |
$27,603.28 |
$23,233.80
|
|
Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm
|
$1,585.80 |
$1,585.80 |
$1,585.80 |
$3,432.00
|
|
Graft nerve adv 3-4x70mm
|
$13,950.48 |
$13,950.48 |
$20,782.10 |
$20,782.10
|
|
Graft patch felt ptfe 2x2
|
$23,946.83 |
$23,946.83 |
$50,985.00 |
$29,289.67
|
|
Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm
|
$141.58 |
$141.58 |
$141.58 |
$1,111.05
|
|
Graft puraplyam antimicrob 1.6-q4196-cost per sq cm
|
$1,315.71 |
$1,315.71 |
$1,816.68 |
$886.17
|
|
Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm
|
$765.06 |
$765.06 |
$2,177.70 |
$1,132.47
|
|
Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm
|
$7,021.66 |
$7,021.66 |
$7,021.66 |
$349.41
|
|
Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm
|
$4,742.40 |
$4,742.40 |
$22,270.50 |
$28,894.71
|
|
Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm
|
$800.41 |
$800.41 |
$800.41 |
$1,114.96
|
|
Graft xenmtrx sft rect 15x20cm
|
$9,893.28 |
$9,893.28 |
$50,985.00 |
$29,113.43
|
|
Graft xenmtrx sft rect 19x28cm
|
$1,669.33 |
$1,669.33 |
$3,670.92 |
$2,923.86
|
|
Granulocyte pheresis ea unit
|
$4,337.60 |
$4,337.60 |
$4,337.60 |
$2,698.02
|
|
Great toe with reduction 28495
|
$43.40 |
$43.40 |
$577.03 |
$495.00
|
|
Grfg autol fat lipo 50 cc/<
|
$5,102.99 |
$5,102.99 |
$5,102.99 |
$5,102.99
|
|
Grfg autol soft tiss dir exc
|
$95.38 |
$95.38 |
$95.38 |
$4,562.50
|
|
Ground mileage
|
$3.74 |
$3.74 |
$3.74 |
$17.60
|
|
Group behave couns 2-10
|
$106.94 |
$106.94 |
$106.94 |
$94.87
|
|
Group health education
|
$76.66 |
$76.66 |
$76.66 |
$61.92
|
|
Group mnt 2 or more 30 mins
|
$54.10 |
$54.10 |
$54.10 |
$43.12
|
|
Growth hormone antibody
|
$72.60 |
$72.60 |
$72.60 |
$72.81
|
|
Growth stimulation gene 2
|
$225.00 |
$225.00 |
$225.00 |
$180.50
|
|
Gstrst open wo constj tube
|
$3,084.38 |
$3,084.38 |
$3,084.38 |
$2,756.00
|
|
G-tube reposition
|
$328.83 |
$328.83 |
$1,566.16 |
$760.80
|
|
Gu dilat ureter/urethra s&i
|
$889.70 |
$889.70 |
$3,458.62 |
$2,057.58
|
|
Guided cath fluid drainage 10030
|
$236.60 |
$236.60 |
$1,218.98 |
$1,372.15
|
|
Guide endoanchr sg-64 aaa 62cm
|
$4,808.83 |
$4,808.83 |
$8,922.00 |
$7,743.36
|
|
Guide wire threaded 1.4x150mm
|
$2,582.48 |
$2,582.48 |
$23,453.10 |
$3,284.36
|
|
Guide worley csg 9fx50cm std
|
$735.00 |
$735.00 |
$5,049.60 |
$1,117.40
|
|
Guid loc target vol rad tx
|
$134.75 |
$134.75 |
$298.56 |
$535.60
|
|
Gum graft
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$5,289.89
|
|
Gw stiffened micro access kit
|
$3,784.55 |
$3,784.55 |
$9,177.30 |
$6,836.20
|
|
Gynecomastia (males) 19300
|
$3,514.50 |
$3,514.50 |
$3,514.50 |
$3,735.20
|
|
Hair removal by electrolysis 17380
|
$706.98 |
$706.98 |
$706.98 |
$849.50
|
|
Hair trnspl 1-15 punch grfts
|
$326.34 |
$326.34 |
$326.34 |
$908.00
|
|
Hair trnspl >15 punch grafts
|
$326.34 |
$326.34 |
$326.34 |
$1,108.80
|
|
Halo cervical into jckt vest
|
$2,395.80 |
$2,395.80 |
$4,598.83 |
$5,015.12
|
|
Haloperidol decanoate 50 mg/ml intramuscular solution
|
$17.28 |
$17.28 |
$139.00 |
$90.97
|
|
Haloperidol lactate 5 mg/ml injection solution
|
$0.10 |
$0.10 |
$74.29 |
$24.25
|
|
Handle/convey/speciman/office-lab 99000
|
$28.88 |
$28.88 |
$35.06 |
$23.40
|
|
Handpiece aquabeam hp2000
|
$6,628.05 |
$6,628.05 |
$6,628.05 |
$6,628.05
|
|
Hands-On Manual Therapy (each 15 minutes)
|
$152.37 |
$152.37 |
$152.37 |
$105.30
|
|
Hand tendon reconstruction
|
$3,214.89 |
$3,214.89 |
$3,214.89 |
$5,023.20
|
|
Hand tendon reconstruction
|
$4,498.52 |
$4,498.52 |
$4,498.52 |
$4,498.52
|
|
Hand X-ray
|
$390.52 |
$390.52 |
$390.52 |
$350.35
|
|
Hand X-ray (2 views, both hands)
|
$356.60 |
$356.60 |
$356.60 |
$294.90
|
|
Haptoglobin quantitative
|
$51.63 |
$51.63 |
$119.07 |
$92.64
|
|
Harvest allogeneic stem cell
|
$4,143.58 |
$4,143.58 |
$4,143.58 |
$3,766.50
|
|
Harvest auto stem cells
|
$4,464.59 |
$4,464.59 |
$4,464.59 |
$3,624.31
|
|
Harvest femoropopliteal vein 35572
|
$6,517.80 |
$6,517.80 |
$6,517.80 |
$844.00
|
|
Harvest stem cell concentrte
|
$1,195.46 |
$1,195.46 |
$1,195.46 |
$1,355.25
|
|
Hast w/i&r phys/qhp
|
$594.90 |
$594.90 |
$594.90 |
$301.95
|
|
Hast w/oxygen titrate
|
$467.47 |
$467.47 |
$467.47 |
$347.20
|
|
Hba1/hba2 full gene sequence
|
$1,101.45 |
$1,101.45 |
$1,101.45 |
$769.95
|
|
Hba1/hba2 gene dup/del vrnts
|
$787.50 |
$787.50 |
$787.50 |
$403.25
|
|
Hbb full gene sequence
|
$2,644.55 |
$2,644.55 |
$2,644.55 |
$633.25
|
|
Hbb gene dup/del variants
|
$802.50 |
$802.50 |
$802.50 |
$404.80
|
|
Hb glycosylated a1c home dev
|
$41.53 |
$41.53 |
$41.53 |
$24.00
|
|
Hbot, full body chamber, 30m
|
$297.50 |
$297.50 |
$825.94 |
$526.90
|
|
Hc ea ha check monaural
|
$94.52 |
$94.52 |
$94.52 |
$57.00
|
|
Hc fl sm bowel enteroclss tube w kub double contrast
|
$471.13 |
$471.13 |
$471.13 |
$726.00
|
|
Hcg free betachain test
|
$99.01 |
$99.01 |
$99.01 |
$64.74
|
|
Hcg qualitative
|
$57.93 |
$57.93 |
$137.07 |
$89.60
|
|
Hcg quantitative
|
$62.30 |
$62.30 |
$181.31 |
$137.70
|
|
Hc hearing aid chck monarl
|
$118.99 |
$118.99 |
$118.99 |
$48.75
|
|
Hc hearing aid exam both ears
|
$224.05 |
$224.05 |
$224.05 |
$175.20
|
